{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T23:01:17Z","timestamp":1792623677029,"version":"4.5.0"},"reference-count":17,"publisher":"SLACK, Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>\n            Displaced pediatric forearm fractures often are treated with closed reduction and immobilization. Recent literature demonstrates no difference in maintaining alignment or needing repeat intervention in patients immobilized with either a single sugar-tong splint or a long-arm cast, but most series include patients with distal fractures. This study included patients 3 to 15 years old who underwent closed reduction and immobilization for displaced midshaft or proximal forearm fractures. Radiographs from the time of injury, after reduction, and at 4-week follow-up were reviewed for coronal and sagittal plane angular alignment. Secondary interventions also were recorded. A total of 121 patients (70 long-arm cast, 51 simple sugar-tong splint) met inclusion criteria. Groups were matched in terms of age (\n            <jats:italic>P<\/jats:italic>\n            =.95), sex (\n            <jats:italic>P<\/jats:italic>\n            =.41), body mass index (\n            <jats:italic>P<\/jats:italic>\n            =.12), and angular deformity prior to reduction in the sagittal (\n            <jats:italic>P<\/jats:italic>\n            =.78) and coronal (\n            <jats:italic>P<\/jats:italic>\n            =.83) planes. Following closed reduction, sagittal (\n            <jats:italic>P<\/jats:italic>\n            =.003) and coronal (\n            <jats:italic>P<\/jats:italic>\n            =.002) alignment improved significantly in all patients. At 4-week follow-up, there were no significant differences in sagittal (\n            <jats:italic>P<\/jats:italic>\n            =.15) or coronal (\n            <jats:italic>P<\/jats:italic>\n            =.68) alignment between the 2 groups. Nine patients underwent a secondary intervention after the index reduction (long-arm cast, n=7; simple sugar-tong splint, n=2), with no statistically significant difference between groups (\n            <jats:italic>P<\/jats:italic>\n            =.30). There were no statistically significant differences between patients managed with long-arm cast or simple sugar-tong splint regarding residual sagittal or coronal plane deformity at 4-week follow-up or incidence of secondary intervention. These findings indicate simple sugar-tong splint and long-arm cast appear to be acceptable and equivalent methods of immobilization for these injuries. [\n            <jats:italic>Orthopedics<\/jats:italic>\n            . 2021;44(2):e178\u2013e182.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20201119-06","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T19:09:54Z","timestamp":1606331394000},"source":"Crossref","is-referenced-by-count":3,"title":["A Single Sugar-Tong Splint Can Maintain Pediatric Forearm Fractures"],"prefix":"10.3928","volume":"44","author":[{"given":"Robert F.","family":"Murphy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Sleasman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davis","family":"Osborn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R.","family":"Barfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew A.","family":"Dow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"James F.","family":"Mooney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.26322"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199905000-00011"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000572"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199805000-00002"},{"key":"e_1_3_1_6_2","first-page":"509","article-title":"Surgical management of forearm and distal radius fractures in children and adolescents","volume":"57","author":"Price CT","year":"2008","unstructured":"Price CT. Surgical management of forearm and distal radius fractures in children and adolescents. Instr Course Lect. 2008;57:509\u2013514. PMID:18399605","journal-title":"Instr Course Lect"},{"key":"e_1_3_1_7_2","volume-title":"Lovell and Winter's Pediatric Orthopaedics","author":"Lovell WW","year":"2014","unstructured":"Lovell WW, Weinstein SL, Flynn JM. Lovell and Winter's Pediatric Orthopaedics. 7th ed. Wolters Kluwer Health\/Lippincott Williams & Wilkins; 2014.","edition":"7"},{"key":"e_1_3_1_8_2","volume-title":"Rock-wood & Wilkins' Fractures in Children","author":"Flynn JM","year":"2014","unstructured":"Flynn JM, Skaggs DL, Waters PM. Rock-wood & Wilkins' Fractures in Children. 8th ed. Wolters Kluwer Health; 2014.","edition":"8"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000435"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001291"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199911000-00021"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00320"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000196"},{"issue":"2","key":"e_1_3_1_14_2","first-page":"68","article-title":"Maintenance of reduction of pediatric distal radius fractures with a sugar-tong splint","volume":"36","author":"Denes AE","year":"2007","unstructured":"Denes AE Jr, Goding R, Tamborlane J, Schwartz E. Maintenance of reduction of pediatric distal radius fractures with a sugar-tong splint. Am J Orthop (Belle Mead NJ). 2007;36(2):68\u201370. PMID:17405634","journal-title":"Am J Orthop (Belle Mead NJ)"},{"issue":"1","key":"e_1_3_1_15_2","first-page":"9","article-title":"Comparison of short and long arm plaster casts for displaced fractures in the distal third of the forearm in children","volume":"88","author":"Webb GR","year":"2006","unstructured":"Webb GR, Galpin RD, Armstrong DG. Comparison of short and long arm plaster casts for displaced fractures in the distal third of the forearm in children. J Bone Joint Surg Am. 2006;88(1):9\u201317. PMID:16391244","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000382"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000158005.53671.c4"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200203000-00010"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20201119-06","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T07:28:42Z","timestamp":1683098922000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20201119-06"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.3928\/01477447-20201119-06"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20201119-06","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}